Organization
SOUTHEAST KANSAS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL SHINKLE (RD)
(620) 288-1099
Entity
Organization
Contact information
Practice address
419 N 6TH ST STE 16, FREDONIA, KS 66736-1300
(620) 288-1099
Mailing address
419 N 6TH ST STE 16, FREDONIA, KS 66736-1300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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